BEACHES EAR, NOSE AND THROAT, PA (NPI# 1013391275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013391275 |
| Entity Type | Organization |
| Organization Name | BEACHES EAR, NOSE AND THROAT, PA |
| Practice Address |
3200 3rd St S Suite 101 Jacksonville Beach FL 32250-6096 |
| Mailing Address |
Po Box 3217 Ponte Vedra Beach FL 32004-3217 |
| Practice Telephone | 9042474070 |
| Practice Fax Number | 9042474131 |
| Mailing Telephone | 9042474070 |
| Mailing Fax Number | 9042474131 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | DR. JEFFREY E BRINK (OWNER) |
| Authorized Official Telephone | 9042474070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
AY1951 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269691601 | 05 |
| Street Address |
3200 3RD ST S SUITE 101 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-6096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216227 | Beaches Ear Nose & Throat | Otolaryngology | 3200 3rd St S, Suite 101, Jacksonville Beach, FL 32250-6096 | 2005-09-23 |
| 1740415843 | Kara Lynn Russell | Nurse Practitioner | 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250-6096 | 2009-05-19 |
| 1972797132 | Elleanor Sapin Swartz | Physician Assistant | 3200 3rd St S, Ste 200, Jacksonville Beach, FL 32250-6097 | 2007-08-30 |
| 1518089846 | First Coast Dermatology and Internal Medicine P A | Dermatology | 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250-6056 | 2007-04-06 |
| 1457473746 | Christina Diane Ahrens | Nurse Practitioner | 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250-6056 | 2007-04-06 |
| 1740349950 | Alison O. Moon | Dermatology | 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250-6056 | 2006-12-06 |
| 1639240872 | Chelsy Marty | Dermatology | 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250-6096 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877482 | Danielle Loree O'neil | Audiologist | 3200 3rd St S Ste 101, Jacksonville Beach, FL 32250-6097 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194212704 | Hometown Hearing Care | Audiologist | 4297 3rd Ave, Marianna, FL 32446-2136 | 2018-04-18 |
| 1992905970 | Paul R Gullo | Audiologist | 3627 University Blvd S Ste 700, Jacksonville, FL 32216-7403 | 2007-07-19 |
| 1942322623 | Eartech Inc | Audiologist | 3904 9th Ave W, Bradenton, FL 34205-1704 | 2007-04-04 |
| 1982238127 | Crystal Hearing Solutions, LLC | Audiologist | 16251 N Cleveland Ave Ste 8, North Fort Myers, FL 33903-2176 | 2020-02-26 |
| 1801374012 | Hometown Hearing Care, Inc | Audiologist | 4297 3rd Ave, Marianna, FL 32446-2136 | 2018-07-31 |
| 1487109880 | The Hearing Doctor, Inc. | Audiologist | 5851 Berryhill Rd, Milton, FL 32570-8279 | 2016-08-16 |
| 1396098588 | Royal Palm Hearing Aid Centers | Audiologist | 7072 Beracasa Way, Boca Raton, FL 33433-3447 | 2012-10-25 |
| 1528369493 | Robin E Criter | Audiologist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2010-11-09 |
| 1679599286 | Alpha Audiology Hearing Health Services Inc | Audiologist | 203c N Highway 79, Panama City Beach, FL 32413-2225 | 2006-07-15 |
| 1205818515 | Lori Cohen Shapiro | Audiologist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-11-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on BEACHES EAR, NOSE AND THROAT, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.